Individual
MS. AVA J BRATHWAITE-RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11111 118TH ST, SOUTH OZONE PARK, NY 11420-1220
(718) 641-9722
(718) 641-2474
Mailing address
11111 118TH ST, SOUTH OZONE PARK, NY 11420-1220
(718) 641-9722
(718) 641-2474
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
565450-1
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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